ATI LPN
Timby's Introductory Medical-Surgical Nursing Thirteenth, North American Edition
Chapter 68 : Caring for Clients With Anxiety Disorders Questions
Question 1 of 5
Following the death of a spouse, a client is prescribed a short-term use of lorazepam. Which is the best rationale to support taking this medication at bedtime?
Correct Answer: C
Rationale: Antianxiety drugs such as lorazepam can cause drowsiness and induce sleep. Because many clients with anxiety disorders also have insomnia, taking the medication at bedtime will promote sleep. Nightmares and obsessive thoughts may be decreased through the induction of sleep. Using the drug at bedtime is not for the purpose of deterring driving. This drug can cause dizziness and light-headedness in some clients.
Question 2 of 5
One week ago, the client was prescribed Buspirone (Buspar) for anxiety. The client phones the office and reports the medication has not eliminated the symptoms. Which is the best response by the nurse?
Correct Answer: A
Rationale: Buspirone (Buspar) may take 2 to 4 weeks to produce desired effects. Clients should be provided this information at the time of initial administration. Changing to another medication would not be indicated at this time. Suggesting that the symptoms may not be eliminated is not indicated and should be avoided. Listening to and validating the client's concerns is a therapeutic measure.
Question 3 of 5
The Beer's List is helpful in providing the nurse with a quick reference on potential risks and benefits for which likely group of clients?
Correct Answer: B
Rationale: Beer's criterion has been used to identify drugs that may be inappropriately prescribed, ineffective, or cause adverse drug reactions in older adult clients. The Beer's criteria are very useful and help determine risk-associated situations for older adults and specific drugs that may be problematic. Chemical dependency and complex medical problems are not a consideration.
Question 4 of 5
Which is the primary effect of central-acting sympatholytics in a client who exhibits hypertension and anxiety?
Correct Answer: D
Rationale: Central-acting sympatholytics block alpha-2 receptors for norepinephrine in the brain stem. Consequently, heart rate and blood pressure are reduced, which adds to the beneficial effects in anxious clients with hypertension. Vasoconstriction will result in higher blood pressure. Central-acting sympatholytics may induce sedation and reduce renin activity in the kidneys but this is not the primary effect.
Question 5 of 5
A client who has an intense fear of flying has elected to participate in a therapy that culminates in a short air flight. This is an example of which type of therapy?
Correct Answer: C
Rationale: Desensitization is a form of behavioral therapy and attempts to extinguish undesirable responses by learning adaptive techniques. Emotional support is provided while the client is gradually coached through experiences that provoke anxiety. Eventually, the client will be able to tolerate the anxiety-provoking experience independently. Psychotherapy involves talking with a psychiatrist, psychologist, or other clinical specialist. Cognitive therapy is a form of psychotherapy in which the therapist assists the client in correcting faulty belief systems. Alternative therapy is the use of techniques to manage anxiety through relaxation techniques and physical exercise.